Table 3 Descriptive results of the included studies a
From: Diagnostic accuracy of delirium diagnosis in pediatric intensive care: a systematic review
Index test | Age range | Comorbidities | Admission diagnoses (top four) | Risk factors (including comorbidities) | Outcomes identified | Treatment described | Prevalence of delirium | |||
|---|---|---|---|---|---|---|---|---|---|---|
Overall | Hyperactive | Hypoactive | Mixed | |||||||
1 to 17 yr | No data | Respiratory (32%), neurological (23%), circulatory (17%), surgical (8%) | Not analyzed | Not analyzed | No data | 26/154 (17%) | 18/154 (12%) | 4/154 (3%) | 4/154 (3%) | |
p-CAM-ICU [10] | ≥5 yr developmentally | No data | Congenital heart disease surgery (18%), asthma (12%), traumatic brain injury (9%), septic shock (9%) | No data | No data | No data | 9/68 (13%) | – | – | - |
CAP-D [11] | 3 mo to 21 yr | Developmental delay in 12 (24%) | Oncology (26%), cardiac (16%), neurosurgical (16%), infectious (10%) | No data | No data | No data | 14/50 (28%) | 2/50 (4%) | 6/50 (12%) | 6/50 (12%) |
CAP-D(R) [17] | 0 to 21 yr | Developmental delay in 22 (20%) | Postoperative (50%), respiratory insufficiency (45%), infectious/inflammatory (34%), neurosurgical (27%) | High PIM II, age <13 yr, developmental delay, respiratory support (no statistical comparison made) | No data | No data | 51/248 assessments (20.6%) | – | – | – |
3 mo to 17 yr | No data | Respiratory (30%), neurologic (40%), circulatory (20%), surgical (7.5%) | High PIM, PRISM, age, ventilation, diagnostic category (neurologic) | Higher mortality, more PICU days | Haloperidol (2/28 with dystonic reactions), risperidone (n =11) | 40/877 (5%) | 14/877 (2%) | 9/877 (1%) | 17/877 (2%) | |